Organization Active NPI

Wyoming Medical Centers PLLC

  • General Practice Physician
  • Dearborn, MI
National Provider Identifier
1386879690
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WYOMING MEDICAL CENTERS PLLC
Practice address
6700 Wyoming St
Dearborn, MI 48126-2345
Phone
(313) 582-7126
Fax
(313) 582-7127
NPI assigned
May 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Reinaldo Orellana
Title
President
Phone
(313) 582-7126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6700 Wyoming St
Dearborn, MI 48126-2345

Mailing address

6700 Wyoming St
Dearborn, MI 48126-2345
Phone (313) 582-7126

National Provider Directory

National Provider Directory

Locations

6700 Wyoming St
Dearborn, MI 48126
Phone (313) 582-7126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1386879690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WYOMING ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262345",
            "telephone_number": "313-582-7126",
            "fax_number": "313-582-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WYOMING ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262345",
            "telephone_number": "313-582-7126",
            "fax_number": "313-582-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING MEDICAL CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-582-7126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.